The Center at Grande
3219 EAST GRANDE BOULEVARD, Tyler, TX 75707
Tyler, Texas · CMS verdict
The Center at Grande's CMS overall star rating runs above the Texas state average (2.8) and reflects above-average quality by the federal five-star measure.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
The Center at Grande in Tyler, Texas holds a CMS overall rating of 5 of 5 stars and a PlainElderCare Quality & Compliance Index of 79 of 100 (grade C). Its CMS inspection record lists a moderate number of deficiencies. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (lighter deficiency book)
Its CMS deficiency count sits in the lighter U.S. deficiency tercile (≤16). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall star rating shown at the top of the page. How this is calculated.
How the 79 is built
Each segment is a dimension's weighted points toward the score, summing to 79.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
The Center at Grande's lighter CMS deficiency book
Quality ratings
On Care Compare (data as of April 2026), the overall star is a roll-up of three separately tracked sub-ratings: health inspection, staffing, and quality measures. The comparison chart below shows where each one sits relative to Texas.
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Tyler, Texas. Bed capacity and average daily census, where CMS reports them, are in Facility details below. Its ownership type, listed in Facility details, can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 70% occupancy, this facility has meaningful open capacity relative to its certified bed count.
Same-ownership peers
Within Texas, The Center at Grande is one of 313 for profit - limited liability company nursing homes CMS rates. Its 5-star overall rating sits above the for profit - limited liability company-segment average of 2.5 stars, ahead of roughly 90% of same-ownership peers in the state. Comparing a facility against its own ownership segment holds the business model roughly constant, which helps isolate facility-level performance from the staffing and reinvestment patterns that differ across for-profit, non-profit, and government operators.
Inspection record
On the regulatory side, federal and state surveyors have documented a moderate number of deficiencies at this facility; the counts are in Facility details below. CMS has levied no enforcement penalties over the equivalent window. This volume of findings is worth reading past the count: CMS's F-tag scale separates isolated, low-harm citations from widespread or immediate-jeopardy ones, and only the full report shows which this facility has.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How The Center at Grande's upper-tercile stars compare to Texas
CMS five-star sub-ratings (0–5) for this facility against the Texas facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Texas state average. Higher is better on all four CMS measures.
Where The Center at Grande ranks in Texas
Among the 1,167 CMS-rated nursing homes in Texas, The Center at Grande’s 5-star overall rating is higher than 87% of them. The bars show how all Texas homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
155 Texas homes share this 5-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 96 |
| Residents | 67 |
| Ownership | For profit - Limited Liability company |
| County | Smith |
| Penalties | 0 |
| Deficiencies | 9 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for The Center at Grande? ▾
CMS rates The Center at Grande at 5 out of 5 stars overall. How its three sub-ratings compare with the Texas average is charted above.
How much does a nursing home cost per month in Texas? ▾
In Texas, a semi-private nursing home room runs a median $5,627/month ($67,525/year) per the CareScout 2025 survey; private rooms average $7,604/month.
What services does The Center at Grande offer? ▾
The Center at Grande is a skilled nursing facility. CMS Care Compare does not list individual services or therapies, so ask the facility directly which it provides. Its bed capacity, census, and ownership type are in the Facility details table on this page.
Does The Center at Grande have any deficiencies or penalties? ▾
The Center at Grande has multiple deficiencies and no penalties recorded by CMS; the counts are in the Facility details table. A count in this range makes it worth asking staff or the facility directly which findings were minor paperwork versus resident-care issues.
What are the alternatives to a nursing home in Texas? ▾
In Texas, alternatives include assisted living ($5,666/mo), home health aides ($5,720/mo), and adult day care ($1,950/mo).
Keep reading
Also see the Texas elder-care overview and highest-rated states. Provider ID: 676443.
Read our methodology - how this data is sourced, computed, and verified.